After-sales request – Formulaires Dutscher

Type of request *Spare parts requestComplaint

Spare parts request

Device brand *

Model (+ volume for micropipettes) *

Serial number *

Description of requested parts

Images/photos (recommended: nameplate, requested part, delivery note/purchase invoice)

Comments *

My complain is aboutConsumableEquipment

Consumables

Product’s part number *

Quantity *

Batch number

Related delivery note/order/invoice number corresponding to the purchase *

Images/photos to attach

Problem description *

Equipment

Device brand *

Model *

Serial number *

Related waybill/order/invoice number corresponding to the purchase (if purchased from another company, indicate the date of purchase) *

Images/photos (recommended : nameplate, photos of the fault or error code, delivery note/purchase invoice)

Problem description *

Contact details

Firstname *

Surname *

E-mail *

Phone number *

Client code

Name of sales representative *